Sasson Daniel C, Turin Sergey Y, Gosain Arun K
Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Division of Plastic Surgery, Lurie Children's Hospital of Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Cleft Palate Craniofac J. 2020 Jul;57(7):919-922. doi: 10.1177/1055665619900623. Epub 2020 Jan 30.
Despite timely repair of cleft lip, secondary deformities such as vermilion notching or "whistle deformity" often require further surgical treatment. The use of dermis-fat graft for soft tissue augmentation of the upper lip is an established technique. We propose an innovation on this technique, by which the dermis-fat graft can be placed reliably and with minimal dissection by use of a soft red rubber sheath to protect the Keith needle while delivering the graft through the submucosal pocket in the dry vermilion, thereby avoiding the needle inadvertently catching soft tissue inside the pocket. We recommend using an 8F red rubber catheter, cutting the catheter to be just shorter than a 2.5-inch Keith needle. This provides a sheath through which the Keith needle can be passed within the submucosal vermilion tunnel. We believe this to be much more reliable for vermilion augmentation than other techniques, including fat injection, and makes graft inset more predictable, faster, and simpler.
尽管唇裂修复及时，但诸如唇红切迹或“口哨畸形”等继发畸形通常需要进一步手术治疗。使用真皮脂肪移植对上唇进行软组织填充是一种成熟的技术。我们在此技术上提出一项创新，通过使用柔软的红色橡胶鞘在将移植物经干燥唇红的黏膜下袋递送时保护凯斯针，从而能可靠地放置真皮脂肪移植物且 dissection 最小，进而避免针在袋内意外夹住软组织。我们建议使用8F红色橡胶导管，将导管剪成比2.5英寸的凯斯针稍短。这提供了一个鞘，凯斯针可通过该鞘在黏膜下唇红隧道内穿行。我们认为，对于唇红填充而言，这比包括脂肪注射在内的其他技术更可靠，并且使移植物植入更可预测、更快且更简单。
原文中“minimal dissection”中的“dissection”可能有误，推测可能是“dissection”（解剖、分离），但不影响整体理解。
